Woodhaven Nursing Center
1150 Pine Run Drive
Lumberton, NC, 28358
9106715703
CCN: 345054
1
Overall1
Health2
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (2)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
MEMORIAL NURSING CENTERS, INC
1128b7
Excluded 1980-10-07
ST JAMES NURSING CENTER, INC
1128a1
Excluded 1994-03-31
Ownership
| Name | Role | % |
|---|---|---|
| LIBERTY LONG TERM CARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| JOHN A MCNEILL JR 2012 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| LIBERTY COMMONS OF ROBESON COUNTY, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| LIBERTY REAL PROPERTIES II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| LIBERTY REAL PROPERTIES VII LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| MCNEILL, RONALD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| RONALD B AND CYNTHIA J MCNEILL 2013 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| CALCUTT, JOESEPH V | CORPORATE DIRECTOR | NOT APPLICABLE |
| WILSON, JEFFREY | CORPORATE DIRECTOR | NOT APPLICABLE |
| MCNEILL, JOHN | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE |
| KLING, ASHLEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (4)
| Date | Type | Amount |
|---|---|---|
| 2024-07-31 | Fine | $94K |
| 2024-07-31 | Payment Denial | 26 days |
| 2024-04-24 | Fine | $10K |
| 2023-12-15 | Fine | $24K |
Health Deficiencies (24)
2025-08-29 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2024-09-12 · Health
E
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-07-31 · Health
J
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
K
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
J
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-05-31 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-04-24 · Health
E
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
F745 · Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
2023-12-15 · Health
G
F745 · Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
G
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-05-18 · Health
D
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
B
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F637 · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
E
F625 · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.61
RN Hrs/Resident/Day0.54
0.26
LPN Hrs/Resident/Day0.81
1.08
CNA Hrs/Resident/Day2.33
2.27
PT Hrs/Resident/Day0.12
0.06
Data as of 2026-03-01